Published online March 2, 2009
PEDIATRICS Vol. 123 No. 3 March 2009, pp. 906-915 (doi:10.1542/peds.2008-3688)
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CLINICAL REPORT

Long-term Follow-up Care for Pediatric Cancer Survivors

AMERICAN ACADEMY OF PEDIATRICS Section on Hematology/Oncology CHILDREN'S ONCOLOGY GROUP

Progress in therapy has made survival into adulthood a reality for most children, adolescents, and young adults diagnosed with cancer today. Notably, this growing population remains vulnerable to a variety of long-term therapy-related sequelae. Systematic ongoing follow-up of these patients, therefore, is important for providing for early detection of and intervention for potentially serious late-onset complications. In addition, health counseling and promotion of healthy lifestyles are important aspects of long-term follow-up care to promote risk reduction for health problems that commonly present during adulthood. Both general and subspecialty pediatric health care providers are playing an increasingly important role in the ongoing care of childhood cancer survivors, beyond the routine preventive care, health supervision, and anticipatory guidance provided to all patients. This report is based on the guidelines that have been developed by the Children's Oncology Group to facilitate comprehensive long-term follow-up of childhood cancer survivors (www.survivorshipguidelines.org).

Key Words: childhood cancer • treatment • survival • late effects • guidelines • long-term follow-up

Abbreviations: COG—Children's Oncology Group • COG LTFU guidelines—Children's Oncology Group's Long-term Follow-up Guidelines for Survivors of Childhood, Adolescent, and Young Adult Cancers


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